How to Recover Money from Patients When Out-of-Network Insurance Sends Checks Directly to Patients

Let’s paint a scenario: You’re a healthcare provider out of network with an insurance company. Your patient has out-of-network benefits, but here’s the kicker—the insurance company sends the check directly to the patient. Frustrating, right? Don’t worry, we’ve got a guide to help you navigate this tricky situation and recover the money owed to you.

Step-by-Step Process for Recovering Money from Patients

1. Verify Insurance Coverage

Before you even start treatment, verify that the patient has out-of-network benefits. Understand the coverage details, including deductibles and co-insurance. This knowledge is crucial in setting clear expectations.

2. Transparent Communication

Have an open conversation with the patient about their financial responsibility. Explain what the insurance company covers and what they will owe directly. Trust me, clear communication here can save a lot of headaches later.

3. Documentation

Keep meticulous records of the treatment provided, the amount owed, and any communication with the patient or insurance company regarding payment. Documentation is your best friend.

4. Billing the Insurance Company

Submit a claim to the patient’s insurance company. Make it clear to the patient that you are an out-of-network provider and list the services provided. This ensures there are no surprises on either end.

5. Check for Errors

Regularly check the status of your claim. Ensure there are no errors and that it is moving through the payment process smoothly.

6. Check Mailing Address

If the insurance company sends the payment directly to the patient, make sure they have your correct billing address. This way, the patient knows where to forward the check.

7. Follow Up with Patient

Once you confirm via the insurance portal or clearinghouse that the check has been sent to the patient, follow up promptly. Request payment and offer multiple options for how they can make the payment—online, over the phone, or by mail. Flexibility can make a big difference.

8. Payment Plans

If the patient struggles to pay the full amount out-of-pocket, discuss setting up a payment plan. Find a solution that works for both parties. Compassion coupled with persistence can go a long way. Payment plans are not offered when the insurance company has sent the payment to the patient.

9. Legal Options

If all else fails and the patient does not make arrangements to pay, consult with a legal advisor. Explore your options but remember to keep this as the last resort.

10. Persistence

Maintain open lines of communication and be persistent in your efforts to recover the funds. Follow up regularly and keep the conversation going.

Real-World Scenarios to Illustrate the Process

Scenario 1:

A patient with out-of-network benefits undergoes a session with a therapist. The insurance company processes the claim and sends a check directly to the patient. The patient promptly informs the therapist. The therapist follows up with the patient, requesting to forward the check or bring it in person. The patient complies, and the therapist processes the check.

Scenario 2:

In another instance, a patient receives a check from their insurance company and forgets to inform the provider. After a month, the provider reaches out for payment, and the patient realizes they received the check but forgot to forward it. The patient immediately sends the check to the provider, who then processes it.

These scenarios highlight the importance of clear communication, documentation, and persistent follow-up to ensure timely recovery of owed funds.

Final Thoughts

Recovering money from patients when out of network can be challenging but not insurmountable. By following these steps and maintaining a proactive approach, healthcare providers, medical billing staff, and practice managers can navigate these tricky waters effectively. Your persistence, coupled with clear communication and thorough documentation, will ensure you recover the funds you’re due.

Got any other tips or experiences to share? We’d love to hear them in the comments below. And if you found this guide helpful, why not share it with your colleagues?

Stay persistent and stay informed!

What are the Common Challenges in Mental Health Billing

For mental health providers such as therapists, psychiatrists, and other clinicians, understanding the complexities of billing is essential. With changes in regulations and higher patient demand than ever before, mental health providers face a greater challenge when it comes to navigating their billing process.

In this blog post, we’ll cover the common challenges associated with mental health billing so you can recognize them and strive for success. From fitting all the services provided into one diagnosis code to filing claims efficiently – having your finger on the pulse of what affects your practice’s bottom line is invaluable! We’ll start by giving an overview of tricky coding issues and then move on to how to keep up with constantly changing laws and regulations related to reimbursement rates. By the end, you’ll know exactly where things might be going wrong with your particular workflow and have strategies for overcoming them!

Understanding mental health billing codes and reimbursement models

Mental health billing codes and reimbursement models are critical aspects of any mental health professional’s practice. Navigating the intricacies of medical billing can be challenging, but with the right guidance and support, it can be a straightforward process. Mental health billing services offer mental health professionals the necessary assistance for processing claims, managing collections, and negotiating with payers. By understanding mental health billing codes and reimbursement models, mental health practitioners can ensure that they receive the proper reimbursement for their services. It is essential to have a clear understanding of the billing process to maximize revenue and provide quality care to patients.

Overcoming denials and rejections from insurance companies

Navigating the world of mental health medical billing can be a daunting task for healthcare providers. When insurance companies deny or reject claims, it can feel like hitting a brick wall. However, it’s important to take a deep breath and remember that there are billing services available specifically for mental health providers. With the right resources and support, overcoming denials and rejections from insurance companies is possible. It may take some persistence and patience, but ultimately, getting the coverage patients need is worth the effort. Let’s empower ourselves to advocate for mental health coverage and access to care.

Collecting patient payments for services rendered

Collecting patient payments for services rendered is an essential part of running a successful mental health practice. However, for many providers, it can be a challenging and time-consuming process. That’s where billing services for mental health providers come in. These services can alleviate the burden of billing and collections, allowing providers to focus on what they do best – providing excellent patient care. With a reliable billing service, you can rest assured knowing that your patients’ payments are being accurately recorded and processed, freeing up your time and resources to ensure that your patients receive the highest quality mental health care possible.

Keeping up with changing regulations in the industry

In today’s fast-paced and ever-changing industry, it’s crucial to stay updated with the latest regulations to keep your business running smoothly. This is particularly important when it comes to mental health medical billing. With ongoing changes in laws and regulations, it can be challenging to keep up with what’s current and what’s not. However, it’s essential to stay on top, as neglecting regulatory requirements can never end well for your business. Prioritizing compliance and adopting an adaptable approach to regulatory changes will ensure that you can confidently navigate this complex landscape. By doing so, you can focus on providing the best outcomes for your clients and your business.

Ensuring accuracy in coding to avoid incorrect reimbursements

Mental health coding and billing accuracy are essential in ensuring that healthcare providers can receive the necessary reimbursements for services they have rendered to their patients. Any error in the coding process could lead to incorrect billing which may delay payments from insurance providers. This can have a direct impact on both the healthcare provider’s finances and the patient’s ongoing care. It is, therefore, necessary to take steps to improve the accuracy of coding in mental health care. By doing so, we can help reduce the risk of incorrect reimbursements. This is not only good for healthcare providers but also for patients who rely on consistent mental health care.

Prioritizing patient confidentiality during billing processes

Maintaining patient confidentiality is vital, especially in cases involving mental health. It is no surprise that billing processes may pose a risk to patient confidentiality through the exchange of sensitive information. Nevertheless, with the rise of mental health billing services, providers must make it a top priority to protect their patients’ information at all times. Effective measures such as secure electronic records and secure communication channels can help safeguard sensitive patient information. As healthcare providers, it is crucial to ensure that our billing processes prioritize patient confidentiality, and at no point should patients’ sensitive information be compromised.


In summary, there are a variety of challenges associated with mental health billing, including understanding billing codes and reimbursement models, overcoming denials and rejections from insurance companies, collecting patient payments for services rendered, staying updated on regulations in the industry, ensuring accuracy in coding to avoid incorrect reimbursements, and prioritizing patient confidentiality. Whereas these challenges can seem overwhelming and arduous at first glance, having the right resources and workflow tools in place can make the process easier. These tools help to simplify billing procedures while still protecting personal information. When it comes to mental health billing processes, a strategic approach and informed decisions are essential for optimizing outcomes.

Why Do Mental Health Claims Get Denied? 10 Reasons

Mental health is a critical aspect of an individual’s overall health and well-being. However, it can be challenging to get the right treatment, especially when it comes to billing claims. Denials of mental health billing claims have become more common, preventing patients from getting the care they need. When billing claims are denied, it creates more than just a financial burden; it can also cause patients to lose access to treatment and compromise their recovery. In this blog post, we will look into the top 10 reasons why mental health billing claims can get denied and how they can be prevented.

1. Inaccurate or Incomplete Patient Information

One of the reasons why mental health billing claims get denied is when patient information is inaccurate or incomplete. This includes missing or incorrect personal information, such as dates of birth, contact details, and insurance information. Providers must ensure that patient information is complete and accurate to avoid billing issues.

2. Lack of Medical Necessity

Insurance companies often deny claims when they do not believe that a service or treatment is medically necessary. Providers must document the medical necessity of any service provided and ensure that it aligns with the patient’s condition and diagnosis.

3. No Referral or Pre-Authorization

Insurance companies may require a referral or pre-authorization from a primary care provider before they cover certain mental health services or treatments. Providers should ensure they have obtained the necessary documentation before rendering any services or treatments to avoid denials.

4. Incorrect Billing Codes

Billing codes determine the charges for rendered services or treatments. If the wrong codes are used, it can lead to billing claim denials or potentially delay payment. Providers must ensure they are using the correct billing codes that align with the provided services and treatments.

5. Time Limit Exceeded

Providers have a limited amount of time to submit billing claims to insurance companies. If the provider misses the filing deadline, it can cause a rejection or delay of reimbursement. Providers must send out billing claims within the permitted timeframe to avoid denials.

6. Claims Exceeded Allowed Services

Insurance companies have pre-approved limits for certain mental health services or treatments. If the provider exceeds the allowed limit, it could lead to a denial of the billing claim. Providers should ensure that they follow the pre-approved limits to avoid claim denials.

7. Billing for Inappropriate Services or Treatments

Providers must make sure the services or treatments they bill for align with the patient’s condition and diagnosis. Trying to bill for inappropriate mental health services or treatments may trigger denials by insurance companies.

8. Using the Wrong Modifier Codes

Modifier codes provide additional information about the services or treatments that the provider delivers. Providers must ensure they use the right modifier codes to avoid billing claim denials.

9. Balance Billing

Providers may sometimes want to bill the patient for the balance of an amount that insurance does not cover. This is against insurance rules and can lead to claim denials. Providers must understand the policies of an insurance company and avoid balance billing.

10. Inadequate Documentation

Providers must ensure that they fully document the services and treatments rendered. Lack of adequate documentation may signal an insurance company of fraudulent activities, leading to claim denials.


Billing claims denials can be frustrating, both for providers and patients. However, understanding the reasons why mental health billing claims get denied is essential to avoid them. Providers must ensure they provide accurate billing information and adhere to insurance policies and guidelines. By doing this, providers can avoid claim denials and help patients receive the care they need. Always remember these top 10 reasons and their corresponding preventive measures to avoid billing claims denials.

Medical Billing and Coding Services

Medical billing and coding are generally used in the same sentence synonymously. While they are the backbone and fundamental to healthcare revenue cycle management, they are quite different.

The purpose of medical billing and coding is to ensure that providers, doctors, and service providers are reimbursed for their services by medical insurers, payers, and patients.

Medical billing and coding are completely separate processes. They codify patient visits into terms that facilitate the submission of claims and subsequent reimbursement. Combined together, medical billing and coding are called Revenue Cycle Management. It starts when a patient registers with a medical practice and ends when the doctor or provider receives full payment for all the services rendered to the patient.

The full revenue cycle process may take anywhere from a few days to several months depending on the patient’s insurance, the complexity of the case and services rendered, how the process is handled to manage rejections and denials, and how the patient’s financial responsibility is managed by the practice.

Efficient revenue cycle management, medical billing, and coding will help providers and staff of medical practices work efficiently to be reimbursed for all the quality of care that they provide.

Let us try to understand the differences between medical coding and billing.

What is Medical Coding?

When a patient visits the medical office, or any other healthcare facility, a patient visit, otherwise known as an encounter is created and the provider documents the details of the visit as well as the services provided. The patient record explains the problem, diagnosis, service, and procedures.

The process of coding is in two parts. The first is Diagnosis coding.


Diagnosis codes are used to describe a patient’s condition. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) is used to capture diagnosis codes for billing purposes.

ICD-10-CM (clinical modification) codes are generally used to classify diagnoses in outpatient and private clinic settings, while ICD-10-PCS (procedure coding system) codes are for inpatient services at hospitals.

These ICD codes are used for identifying a patient’s condition, including the location and severity of an injury or symptom. It also indicates if the visit is related to an initial or follow-up encounter.

There are more than 70,000 unique identifiers in the ICD-10-CM code set. The World Health Organization (WHO) maintains the ICD coding system, which is used internationally in various modified formats.


The procedure coding system is called Current Procedural Terminology (CPT) codes and the Healthcare Common Procedure Coding System (HCPCS).

The American Medical Association (AMA) is responsible for the CPT coding system. These CPT codes describe the services given to a patient during an encounter with private payers. AMA publishes CPT coding guidelines and any modifications each year to support medical coders with coding-specific procedures and services.

CPT or procedure codes are used in conjunction with ICD diagnosis codes to show what the providers did during and during encounter visits. These CPT codes have what is known as, modifiers, which describe the services provider in greater detail. They also indicate if there were multiple procedures done, the reason for those services, and where on the patient these procedures were provided.

It is very important to use proper CPT modifiers to ensure accurate reimbursement for all the services provided.

What is Medical Billing?

As opposed to medical coding, medical billing is the process of submitting claims to insurance companies, payers as well and patients for appropriate reimbursement. Medical coders will enter the codes described above. After that is done, the medical billing team initiates the process of claim submission.

Medical billing usually starts at the front desk. When a patient is registered, medical office staff collects patient demographics data as well as the patient’s insurance information. Once that is collected, the staff is supposed to check the patient’s coverage to ensure that the insurance company will pay for the services. If the patient does not have full coverage or adequate coverage, the patient is supposed to sign documents accepting financial responsibilities.

The office staff is supposed to inform patients that they would be responsible for any costs that are not paid by the insurance company such as copay, co-insurance, and deductible.

After the patient has checked out, the billing staff starts the process of using the codes entered by providers as well as patient information into whatever system or software is being used by the practice for the purpose of medical billing.

Data that is necessary to create and submit claims include among other things, the following:

  • Provider information including provider name, location or place of service, NPI number of rendering as well as supervising provider if applicable.
  • Complete patient demographics and insurance details
  • Visit date and related information, ICD and CPT codes, etc.

In a general outpatient office setting, claims are submitted in a format called CMS-1500 form. Most software systems submit the claim electronically in a format that is compliant with CMS-1500. Billers have to be fully conversant with the form and all its fields.

Once the claim has been submitted to the payer (directly or via clearinghouse), adjudication starts. It will be determined if there is an error in entering the data or not. This process is called claim scrubbing. If an error is found, the claim will be rejected. This is called the claim rejection process. The billing person is supposed to fix the error and resubmit the claim. If everything goes through without any error, the payer will further adjudicate the claim and determine the amount of allowable payment to the provider. Based on that, an Explanation Of Benefits (EOB) is provided and sent to the provider along with payment, if any.

To keep it simple for this article, the billing person then enters payment details and reconciles them with the explanation of the benefits document. The electronic version of the explanation of benefits is also called electronic remittance advice or ERA.

The payer insurance company may also deny the claim for various reasons. In that case the medical biller’ll prepare a case to dispute the denial and further submit proper documentation for re-adjudication.

The medical billing process can be quite tedious and complicated particularly if insurance payers reject and or deny claims. This is where there is a need for medical billers that are fully conversant with insurance rules which keep on changing very frequently.

A/R Management
The process of following up on pending payments is called A/R – Accounts receivables management. Payments are tracked, posted and denials are fought and worked on constantly to make sure providers are compensated.

Finally, any balance that is owed directly by the patients must also be followed up on by the billing team.

Part 3 – Practice Key Performance Indicators – CLINICAL

By Chandresh J. Shah


Clinical Practice Key Performance Indicators –  Part-3

Growing a practice can take a lot of work and having goals can help. That is why it is important to have KPIs (Key Performance Indicators) that can be used to determine how well practice goals are being met.

Let me share to you KPIs that will help your practice on 4 main areas:

  1. Front Desk
  2. Clinical
  3. Billing and Revenue Cycle Management
  4. Reputation Management

This week – Clinical KPI’s. These KPIs are:

  1. Patient Care Hours
  2. Number of Patient Referrals
  3. Patient Transactions
  4. Patient Confidentiality
  5. Patient Follow-up
  6. Rate of Complications
  7. Patient Adherence to Treatment plans.
  8. Communication between primary care, specialists and patients.

In the video below, I went through and explained what each Clinical KPI You can also download the guide through this link (Click Here):

You can also watch the first two KPI Videos.

1. Front Desk KPIs.

2. Billing KPIs.

Part 2 – Practice Key Performance Indicators – BILLING AND RCM

By Chandresh J. Shah

Growing a practice can take a lot of work and having goals can help. That is why it is important to have KPIs(Key Performance Indicators) that can be used to determine how well practice goals are being met.

Let me share to you KPIs that will help your practice on 4 main areas:

  1. Front Desk 
  2. Clinical
  3. Billing and Revenue Cycle Management
  4. Reputation Management

Let me begin with KPI’s for Billing and Revenue Cycle Management as they are the first point of contact and impression your practice makes with existing and new patients. These KPIs are:

14. Net Collections Rate

15. Total Operating Margin

16. Average Insurance Claim Processing time & cost

17. Average cost per patient

18. Claims Rejection rate

19. Average insurance claim processing time and cost

20. Average Treatment Charge

21. Percentage of Patients without Medical Insurance

22. Time Gap between Date of Service and Date Billed

23. Percentage of Claims Denied overall, and by Payer

24. Percentage of Claims Denied due to Front-end errors vs Coding oversights

25. Percentage of Patients with Public vs Private Insurance

26. Percentage of No-Response claims overall, by Payer

In the video below, I went through and explained what each KPI meant for the Billing and RCM. You can also download the guide through this link (Click Here):

Practice Key Performance Indicators – Front Desk

By Chandresh J. Shah

Growing a practice can take a lot of work and having goals can help. That is why it is important to have KPIs (Key Performance Indicators) that can be used to determine how well practice goals are being met.

Let me share to you KPIs that will help your practice on 4 main areas:

  1. Front Desk 
  2. Clinical
  3. Billing and Revenue Cycle Management
  4. Reputation Management

Let me begin with KPI’s for Front Desk as they are the first point of contact and impression your practice makes with existing and new patients. These KPIs are:

  1. Patient In-Office Wait Time
  2. Schedule Density
  3. Percentage of Electronic Health Records
  4. Confirmation and No-Show Rates
  5. Patient Phone Wait Times
  6. Check-In Efficiency
  7. Number of Patients Served Per Month
  8. Number of New Patients Served Per Month
  9. Number of Patient Referrals
  10. Staff Time Spent Entering Data/Charting
  11. Doctor-Care-to-Paperwork Ratio
  12. Percentage of Patients Who Found Paperwork to be Clear and Easy to Understand
  13. Patient Care Automation (i.e. paper work required)

Watch this “Top 40 KPI” video as I went through and explained what each KPI meant for the front desk. You can also download the guide through this link (Click Here):

Your practice is not just a routine business – You need Entrepreneur Employees

By Chandresh J. Shah

A medical practice may seem like a ‘routine’ business. However how many times have you said – “My practice is different from others”’? It is because every business owner and founder has a vision that you believe should set apart your practice from others. There is a reason why you are independent and don’t join a large hospital. It is this vision that must be articulated and passed on.

In a practice, we encounter different kinds of employees. Of course, we would want to have employees worth keeping. What characteristics of employees should you look out for? If your practice has employees that have these characteristics, consider yourselves lucky:

(They) Hustle but they are able to estimate the right amount of push you and others need.

Why are these characteristics a winning combination for a practice? It is because employees with these characteristics are Entrepreneurs.

Good Employee vs. Entrepreneurial Employee

The Good Employee

Most employees qualify as ‘good’ because they do their tasks well; tasks that fit into the overall vision of the founder/provider/owner. They hone in well on their particular function. These people are essential to making a business work well.

But these are not the kind of people suited to take over the entire operation. Many employees have a title that suggest they are senior and therefore are leader. That is not necessarily true.

For Doctors and providers running and managing their own practice hiring an entrepreneurial employees can be risky. That is because employees with characteristics listed above can be unwieldy and intimidating. They can and will exert their dynamic pace of action and thought.

The Entrepreneurial Employee

How do you identify these entrepreneurial employees?

They have tremendous energy. Not just during the first few months of hiring, but always – like an energizer battery. They not only work hard, they hustle. They impress with intensity.

Commitment to personal improvement. You may find them reading self-improvement books, taking evening or online courses, subscribing to personal improvement blogs. It is ambition that drives them but not just for pure ambition of climbing ladders, but personal improvement. This can lead to benefits that the practice will gain from.

They don’t like being micromanaged. Entrepreneurial employees should be ‘handled with care’. You – the practice leader – can encourage or inhibit entrepreneurial behavior. If you manage employees too closely (micromanage), creativity and entrepreneurial behavior will be stifled. Conversely, they will flourish. Entrepreneurs need space to think and create. Remove boundaries and perceived limits.

They share their plans and ideas proactively. Don’t consider this as someone trying to get close to you and impress you. They may have ideas about growing the practice, increasing patient satisfaction, increasing online reviews, increasing patient collections, and overall practice efficiency.

They want to get things done – not just talk about it. Entrepreneurs are doers and thinkers. Their thinking is done not just when you ask them but it is done way in advance. They want to act on those ideas. Many entrepreneurial employees get fidgety in meetings, get impatient because they want action not just talk in meetings.

They may threaten to leave if they are not thriving. This is the downside of hiring entrepreneurial employees. They want to see growth and success and be instrumental in making it happen. It is up to you to create an environment where they thrive. Share your vision and work to have them make it their own. If there is a disconnect, this employee is perhaps not a good fit.

They may not be excellent team players. Sometimes, the most entrepreneurial employees don’t work well on teams. They don’t think like other people, and may have trouble understanding or empathizing with alternate points of view. These are not bad team members, their entrepreneurship needs to be harnessed.

Working with an entrepreneurial employee

I was helping a good friend and client several years ago. His practice was struggling to grow. He had just lost a provider/partner. One of his employees did not have the ‘office manager’ title, but she acted and behaved like one. She was a hard charger and driver. She intimidated everyone, but at the same time, other employees respected her for her knowledge and tenacity. They implemented a new EHR. She learnt and mastered it to the point where she became the internal ‘guru’. Even billing staff reached out to her.

The owner provider was concerned and scared. He was contemplating letting her go because even he felt intimidated. We talked it over and established a 6 month plan. We gave her a vision for personal and practice growth, and linked them together. We established boundary conditions and left her alone without micromanaging. We met with other staff members and sought out their feedback and articulated her role.

After 6 years, she is the office manager – she’s happy and the practice has grown tremendously.

Recognize and seek out entrepreneurial employees, you will not regret it.

Let me know if I can help. Pick a time on my calendar to discuss ideas. (Give it a few seconds for calendar to load after you click)

An Interesting Way to Avoid Medical Litigation

By Chandresh J. Shah

I’m sure you all have heard about the term word-of-mouth marketing.

Getting people to talk often, favorably, to the right people in the right way about you and your practice is far and away the most important thing you can do for your practice. This is the essence of word-of-mouth marketing.

As the topic interested me, I have been reading a book – Talk Triggers, by Jay Baer and Daniel Lemin.

There is a very interesting case study. He mentions Dr. Glenn Gorab, an oral surgeon in Clifton New Jersey. Dr. Gorab started doing something more than 15 years ago. He created a differentiator that other providers don’t seem to copy or follow despite its success as a word-of-mouth generator.

In the book, Dr. Gorab says, ‘I’ve actually mentioned this approach to several of my referring dentists, and none of them implemented it,”.

Dr. Gorab’s approach

Every weekend Dr. Gorab calls each patient that is coming to the office for the 1st time the following week. His typical greeting is as follows: “Hi, this is Dr. Gorab, I know we have an upcoming appointment for you next week, I just wanted to call to introduce myself and ask if you have any questions prior to your appointment.”

Dr. Gorab says patients aren’t really sure what to make of the calls because they are so unexpected. “Most people are shocked that a doctor would call them prior to their appointment; they are almost dumbfounded. It’s so out of the ordinary. They say: no one has ever done this to me before.”

These patients tell their friends about Dr. Gorab’s calls, and they deliver new patients through his front door on a consistent basis.

He says 80% of patients mentioned the calls once in the office for their appointments.

Quite literally, every physician-every professional service provider, could mimic it, yet they do not. Why?

An interesting side benefit. Medicine is incredibly litigious in the United States and has been for decades. 99% of high risk surgical specialists will face a patient lawsuit during their career. Oral surgeons are similarly at risk for legal proceedings, but Dr. Gorab has avoided them entirely across his 32 year career.

“I have never been sued for anything,” he says.” And I do surgeries; I do surgery every day. I have complications. Some of them have been at complications. But probably the reason why I haven’t been sued is because people understand that I care about them, and people don’t sue people they like. The fact that I care about people is the biggest determinant of that, and the fact that I call them ahead of time means that I’m taking an interest in them and I care about them. So right from the start, they see that I care about them.”

Are you ready to try this approach?

Patient Data From EHR Vendors Found for Sale Online

By Chandresh J. Shah

(Becker’s Health IT and CIO Report)

I read the above article this morning and it shocked me.

What shocked me more is that a couple of EHR vendors mentioned in the article are very well known.

It bothered me that these cloud vendors’ data was leaking. So I read further.

There is good and bad news. The good news is that the vendors are not involved in the leak at all. The bad news is that it is up to the individual user to protect how they use cloud systems.

The data going from the browser of your computer to the vendor servers is completely encrypted. In other words, a packet of stuff leaving your office to another destination is protected by a bulletproof case. But what if somebody entered your office and stole stuff before you put it into the bulletproof case?

That is what seems to be happening here. We may unknowingly install a lot of third-party browser extensions and add-ons without knowing what they are capable of doing. These are the hidden spies and thieves lurking in your computer browsers. These rogue extensions collect information about where you serve and what you view and do online. The clicks are then harvested for marketers and data brokers.


Without going into the technical details I would advise that you use the browser without any extensions installed. If you have to install extensions, please seek the advice of a trusted IT advisor if you want to make sure the extensions are safe. Protecting your patient data should be a priority and can be done each user continues to be mindful of what should be done to protect it..